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General NPI Number Information
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NPI Number | 1184024408
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Entity Type | Organization
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Legal Business Name | SERAFINI MEDICAL, P.C.
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 1509 NW MOCK AVE
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-3096
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Country | US
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Telephone | 816-224-3155
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Fax | 816-224-3185
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Provider Business Mailing Address
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Address Line | 1509 NW MOCK AVE
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City | BLUE SPRINGS
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State | MO
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Zip | 64015-3096
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Country | US
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Telephone | 816-224-3155
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Fax | 816-224-3185
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Authorized Official
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Title or Position | DR./D.O./OWNER
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Name | GHAISON F. SERAFINI
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Credential | DO
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Telephone | 816-224-3155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2013035498
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 2013035498
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2013035498
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License Number State | MO
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